Background & Methods: The aim of the study is to study dermatoscopic evaluation of cutaneous lesions of leprosy. Detailed history regarding sociodemographic variables such as name, age, gender, residence, occupation, contact details etc. was obtained and documented in proforma. History regarding clinical complaints, onset of symptoms, duration of disease, family history was obtained as per the proforma.

Results: In patients with tuberculoid leprosy, most common dermoscopic feature was loss of hair follicles (87.5%), followed by focal white area (75%) and scales (50%). Reduced density of white dots, yellow orange area, white structureless area and diminished pigmented network were observed in 37.5% patients each with tuberculoid leprosy. Broken hair, loss of white dots and white hair were observed in one fourth of patients with tuberculoid leprosy. In 12.5% cases with TT each, we observed yellow brown globules, increased erythema and telangiectasia on dermoscopic examination. Increased erythema was observed in significantly small proportions of patients with tuberculoid leprosy (p<0.05). We found no significant association of tuberculoid leprosy with other dermoscopid findings.

Conclusion: Most common dermoscopic feature in patients with leprosy was loss of hair follicles (70%), followed by focal white area (64%), increased erythema (54%), reduced density of white dots (54%) and white structureless areas (50%). Other features documented in less than half of the patients were yellow orange area (42%), Telangiectasia (38%), Scales (34%), diminished pigmented network (34%), yellow brown globules (32%), loss of white dots (22%), white hair (16%), broken hair (12%) and shiny white structure (6%).  The characteristic features of leprosy on dermoscopy are loss of hair follicles, focal white area, increased erythema, reduced density of white dots and white structureless areas and yellow orange area. Dermoscopic features vary in tuberculoid and lepromatous pole of leprosy.